Individual provider Active NPI

Eric Tenbrock, MD

  • Pulmonary Disease Physician
  • Buffalo, NY
National Provider Identifier
1124129820
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
163893 Issued in NY
Practice address
100 High St
Buffalo, NY 14203-1126
Phone
(716) 859-2271
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 163893 NY Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 163893 NY

Addresses

Primary practice location

100 High St
Buffalo, NY 14203-1126

Mailing address

100 High St
Buffalo, NY 14203-1126
Phone (716) 859-2271

Other identifiers 4

IdentifierTypeStateIssuer
00917588MedicaidNY
2807576OtherNYINDEPENDENT HEALTH
005008291OtherNYHEALTH NOW
00010178001OtherNYEXCELLUS UNIVERA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070315000146 NY Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 3274636030 Reassigns benefits to 4 organizations
I20190815001857 PA Practitioner - Sleep MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3274636030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Academic Medicine Services, Inc.Group PAC ID 0941105241, 115 clinicians
Olean General HospitalGroup PAC ID 9133111784, 78 clinicians
United Memorial Medical CenterGroup PAC ID 0547259376, 271 clinicians

Practice addresses (Care Compare)

1020 Youngs Rd
Williamsville, NY 14221-2698
Phone (716) 961-9900

116 Interstate Pkwy
Bradford, PA 16701-1036
Phone (814) 362-8277

127 N St
Batavia, NY 14020-1631

200 Pleasant St
Bradford, PA 16701-1065
Phone (814) 362-8293

229 Summit St
Batavia, NY 14020-1645

462 Grider St
Buffalo, NY 14215-3021

500 Main St
Olean, NY 14760-1514
Phone (716) 701-1541

Hospital & facility affiliations

  • Olean General Hospital Hospital, Olean, NY, CCN 330103
  • United Memorial Medical Center Hospital, Batavia, NY, CCN 330073

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
163893NYMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olean General Hospital Pulmonary Disease CurrentSince Dec 1, 2015 Accepting new patients
Virtuox, LLC CurrentSince Jan 1, 2018 Accepting new patients
United Memorial Medical Center CurrentSince Oct 15, 2008 Accepting new patients
Olean General Hospital CurrentSince Jul 1, 2019 Accepting new patients
Kaleida Health Current Accepting new patients
Olean General Hospital Pulmonary Disease CurrentSince Dec 1, 2015 Accepting new patients
Kaleida Health CurrentSince Sep 1, 2012 Accepting new patients
Kaleida Health CurrentSince Sep 1, 2012 Accepting new patients
University at Buffalo Surgeons Inc Past Accepting new patients

Locations

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

127 North St
Batavia, NY 14020
Phone (585) 267-7510

100 High St
#13282
Buffalo, NY 14203

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

515 Main St
#13282
Olean, NY 14760
Phone (716) 375-6993

500 Main St
Olean, NY 14760
Phone (716) 373-2600

515 Main St
Olean, NY 14760
Phone (716) 373-2600

200 Pleasant St
Bradford, PA 16701
Phone (814) 362-8293

116 Interstate Pkwy
Bradford, PA 16701
Phone (814) 362-8674

116 Interstate Pkwy
Ste 31
Bradford, PA 16701
Phone (814) 362-8729

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1124129820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031126",
            "telephone_number": "716-859-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031126",
            "telephone_number": "716-859-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENBROCK",
        "first_name": "ERIC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "163893",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NY",
            "license": "163893",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00917588",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "2807576",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NOW",
            "identifier": "005008291",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS UNIVERA",
            "identifier": "00010178001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.